what to do when ulcer bleeding

Treatment of bleeding ulcer disease is the principle of active conservative medical treatment, medicine only when conservative treatment fails to consider surgery.

(1) of absolute bed rest, as far as possible to lift their concerns and tension, has nothing to do with the rescue of the inspection, shall be a delay. Precautionary, if necessary, take head-down, to increase the brain's blood supply. Have anxiety or irritability, may intramuscular injection of sedatives.

(2) close observation condition, pay attention to blood pressure, pulse, breathing and body temperature, urine volume and the general situation. More patients with bleeding, blood pressure measurements every 0.5-1 hours once every 4-6 hours check red blood cell, hemoglobin.

(3) low blood pressure or shock should be oxygen.

(4) general should not be bleeding during fasting, because food can inhibit the contraction of stomach hunger blood coagulation, followed by stomach acid and can be in, the supply of nutrients. Should be given a small amount of liquid diet on many occasions, such as milk, soy milk, Dan Tang, broth, and so on. If nausea, vomiting diet may be suspended, pending vomiting stop, to resume eating.

(5) added timely blood volume control shock. The indications for blood transfusion: ① systolic blood pressure less than 12 kPa (90 mm Hg): ② pulse 120 times / or more points; ③ hemoglobin below 7 g; ④ signs of a shock. The amount of bleeding in the body below 300 ml can be their own compensation, and generally do not have blood transfusion; amount of bleeding in the 300-600 millilitres, can be corrected through the transfusion of blood pressure, blood transfusion can not; amount of bleeding in more than 600 milliliters to be added as soon as possible Blood volume. Meet the above indications blood transfusion, blood transfusion宜早不宜迟. Blood transfusion under specific circumstances, a 300 per 400 ml blood transfusion, such as hemoglobin no pick-up, once again blood transfusion. Blood transfusion can correct shock, still bleeding role in raising hemoglobin.

(6) the timely application of therapy to stop bleeding. In addition to measures to stop bleeding blood transfusion, there are applications hemostatic. Hemostatic such as the various commonly used vitamin Kl, bleeding-bleeding-acid, also used a cyanide Mi clothes and ranitidine, famotidine and omeprazole acid inhibitors, such as injection of bleeding, clotting injection or oral thrombin Zymogen complex, such as bleeding or oral Yunnan Baiyao, such as traditional Chinese medicine to stop bleeding, may also adopt measures such as gastric lavage ice brine.

(7) in the treatment of bleeding ulcers in the process of screening and treatment must pay attention to acid poisoning and water electrolyte imbalance. Hemorrhage, potassium, hyponatremia easily lost cause electrolyte imbalance, but also easily lead to acid poisoning. Therefore attention should be paid timely and correct added.

(8) to prevent acute renal failure, the protection of heart, brain, kidney important organ function. Bleeding after blood pressure drop, even shock, if not promptly corrected, could affect heart, brain and kidney function, such as prolonged shock can occur without urine, and even renal failure. At this point in a positive intravenous rehydration on the basis of 20% mannitol 100 ml, so as to achieve not less than 30 ml per hour urine.

(9) positive for canker, the prevention of the most important.

(10) if the conservative medical treatment beyond the control bleeding, consideration should be given to surgery.